{"id":43242,"date":"2023-11-23T18:00:59","date_gmt":"2023-11-23T10:00:59","guid":{"rendered":"https:\/\/case.ntu.edu.tw\/blog\/?p=43242"},"modified":"2023-12-14T10:48:59","modified_gmt":"2023-12-14T02:48:59","slug":"%e6%86%82%e9%ac%b1%e7%97%87%e7%9a%84%e6%b2%bb%e7%99%82%e5%98%97%e8%a9%a6%ef%bc%9a%e4%bb%a5%e5%8d%b3%e6%99%82%e5%8a%9f%e8%83%bd%e6%80%a7%e7%a3%81%e6%8c%af%e7%85%a7%e5%bd%b1%e7%82%ba%e6%9c%ac%e7%9a%84","status":"publish","type":"post","link":"https:\/\/case.ntu.edu.tw\/blog\/?p=43242","title":{"rendered":"\u6182\u9b31\u75c7\u7684\u6cbb\u7642\u5617\u8a66\uff1a\u4ee5\u5373\u6642\u529f\u80fd\u6027\u78c1\u632f\u7167\u5f71\u70ba\u672c\u7684\u795e\u7d93\u56de\u994b\u4ecb\u5165"},"content":{"rendered":"<p><span style=\"color: #000080;\"><strong>\u7576\u500b\u9ad4\u9577\u6642\u9593\u51fa\u73fe\u60c5\u7dd2\u4f4e\u843d\uff0c\u4e26\u4e14\u6709\u5176\u4ed6\u65b9\u9762\u7684\u65e5\u5e38\u529f\u80fd\u51fa\u73fe\u5927\u5e45\u5ea6\u7684\u6e1b\u9000\uff0c\u6211\u5011\u5f80\u5f80\u6703\u958b\u59cb\u601d\u8003\u4ed6\uff0f\u5979\u662f\u5426\u8655\u5728\u6182\u9b31\u60c5\u7dd2\uff0c\u751a\u81f3\u60a3\u4e0a\u4e86\u6182\u9b31\u75c7\u3002\u800c\u6182\u9b31\u75c7\u7684\u5176\u4e2d\u4e00\u9805\u5143\u7d20\uff0c\u5373\u662f\u51fa\u73fe\u91cd\u8907\u6027\u7684\u8ca0\u5411\u601d\u8003\uff0c\u6216\u8005\u88ab\u7a31\u70ba\u53cd\u82bb\u3002\u4eca\u5929\uff0c\u5b78\u8005Tsuchiyagaitoa\u5718\u968a\u5617\u8a66\u77ad\u89e3\u4e00\u9805\u795e\u7d93\u56de\u994b\u4ecb\u5165\uff0c\u662f\u5426\u80fd\u5920\u6e1b\u5c11\u9019\u4e9b\u53d7\u6182\u9b31\u75c7\u6240\u82e6\u500b\u9ad4\u4e0a\u8ff0\u7684\u8ca0\u5411\u601d\u8003\u56f0\u64fe\u3002<\/strong><\/span><\/p>\n<p><strong>\u64b0\u6587\uff5c\u8521\u5cb7\u54f2<\/strong><\/p>\n<figure id=\"attachment_43243\" aria-describedby=\"caption-attachment-43243\" style=\"width: 800px\" class=\"wp-caption aligncenter\"><img fetchpriority=\"high\" decoding=\"async\" class=\"wp-image-43243 size-large\" src=\"https:\/\/case.ntu.edu.tw\/blog\/wp-content\/uploads\/2023\/11\/\u5167\u6587\u63d2\u5716-1024x790.png\" alt=\"\" width=\"800\" height=\"617\" srcset=\"https:\/\/case.ntu.edu.tw\/blog\/wp-content\/uploads\/2023\/11\/\u5167\u6587\u63d2\u5716-1024x790.png 1024w, https:\/\/case.ntu.edu.tw\/blog\/wp-content\/uploads\/2023\/11\/\u5167\u6587\u63d2\u5716-300x232.png 300w, https:\/\/case.ntu.edu.tw\/blog\/wp-content\/uploads\/2023\/11\/\u5167\u6587\u63d2\u5716-768x593.png 768w, https:\/\/case.ntu.edu.tw\/blog\/wp-content\/uploads\/2023\/11\/\u5167\u6587\u63d2\u5716-1536x1186.png 1536w, https:\/\/case.ntu.edu.tw\/blog\/wp-content\/uploads\/2023\/11\/\u5167\u6587\u63d2\u5716.png 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption id=\"caption-attachment-43243\" class=\"wp-caption-text\">\u4f86\u6e90\uff1a<a href=\"https:\/\/pixabay.com\/illustrations\/mind-brain-mindset-perception-544404\/\">Pixabay<\/a><\/figcaption><\/figure>\n<h6><span style=\"color: #008080;\"><strong>\u6182\u9b31\u75c7\u8207\u795e\u7d93\u751f\u7406\u56de\u994b<\/strong><\/span><\/h6>\n<p>\u6182\u9b31\u75c7\u7684\u662f\u4e00\u9805\u5ee3\u70ba\u4eba\u77e5\u7684\u5fc3\u7406\u75be\u75c5\u4e4b\u4e00\uff0c\u5176\u5e36\u4f86\u7684\u601d\u7dd2\u3001\u60c5\u7dd2\u56f0\u64fe\uff0c\u4ee5\u53ca\u5c0d\u65bc\u75c5\u4eba\u65e5\u5e38\u5b78\u696d\u3001\u8077\u696d\uff0c\u6216\u662f\u4eba\u969b\u4e92\u52d5\u80fd\u529b\u7684\u6e1b\u640d\uff0c\u662f\u6182\u9b31\u75c7\u5c0d\u500b\u9ad4\u6700\u5e38\u898b\u7684\u885d\u64ca\u4e4b\u4e00\u3002\u5e38\u898b\u7684\u75c7\u72c0\uff0c\u5305\u542b\u611f\u5230\u5fc3\u60c5\u6cae\u55aa\u8207\u4f4e\u843d\u3001\u5c0d\u65bc\u5e73\u6642\u559c\u597d\u7684\u6d3b\u52d5\u6216\u8208\u8da3\u7684\u8208\u81f4\u964d\u4f4e\u3001\u98df\u617e\u8207\u7761\u7720\u51fa\u73fe\u660e\u986f\u6ce2\u52d5\uff0f\u7570\u5e38\uff0c\u6216\u662f\u8a18\u61b6\u3001\u5c08\u6ce8\u529f\u80fd\u4e0b\u964d\u7b49\u3002<\/p>\n<p>\u76ee\u524d\uff0c\u6709\u8a31\u591a\u4e0d\u540c\u53d6\u5411\u7684\u6cbb\u7642\u904b\u7528\u65bc\u6182\u9b31\u75c7\u7684\u6cbb\u7642\uff0c\u4ee5\u85e5\u7269\u800c\u8a00\uff0c\u6709\u8a31\u591a\u4e0d\u540c\u85e5\u7269\u6a5f\u8f49\u7684\u6297\u6182\u9b31\u5291\u7d93\u5e38\u88ab\u4f7f\u7528\u4f86\u6cbb\u7642\u6182\u9b31\u75c7\u72c0\uff0c\u5982SSRI\u3001SNRI\u7b49\u3002\u95dc\u65bc\u975e\u85e5\u7269\u6cbb\u7642\uff0c\u4e0d\u540c\u53d6\u5411\u7684\u500b\u5225\u6216\u5718\u9ad4\u5fc3\u7406\u6cbb\u7642\uff0c\u4e5f\u90fd\u5e38\u898b\u65bc\u81e8\u5e8a\u5834\u57df\uff0c\u50cf\u662f\u91dd\u5c0d\u8ca0\u5411\u601d\u8003\u7b49\u8a8d\u77e5\u578b\u614b\u51fa\u767c\u7684\u8a8d\u77e5\u884c\u70ba\u6cbb\u7642\uff0c\u6216\u662f\u91dd\u5c0d\u75c5\u4eba\u6240\u9047\u5230\u5404\u5f0f\u4eba\u969b\u60c5\u5883\u51fa\u767c\u7684\u4eba\u969b\u53d6\u5411\u6cbb\u7642\u7b49\u3002\u904e\u53bb\u4e0d\u5c11\u7814\u7a76\u66f4\u6307\u51fa\uff0c\u5373\u4f7f\u4e0a\u8ff0\u7684\u6cbb\u7642\u6709\u5176\u6548\u7528\uff0c\u4f46\u5408\u4f75\u5fc3\u7406\u6cbb\u7642\u8207\u85e5\u7269\u6cbb\u7642\u7684\u65b9\u5f0f\uff0c\u662f\u76f8\u5c0d\u65bc\u4efb\u4e00\u9805\u76ee\u9032\u884c\u4ecb\u5165\u4f86\u7684\u66f4\u70ba\u6709\u6548\u7684\u9078\u64c7\u3002<\/p>\n<p>\u7136\u800c\uff0c\u5c0d\u65bc\u90e8\u5206\u85e5\u7269\u6548\u679c\u4e0d\u4f73\u3001\u4e0d\u53cd\u61c9\u7684\u75c5\u4eba\u800c\u8a00\uff0c\u73fe\u6709\u7684\u6cbb\u7642\u65b9\u5f0f\u5c0d\u4ed6\u5011\u7684\u5e6b\u52a9\u537b\u662f\u76f8\u5c0d\u6709\u9650\u3002\u5728\u4eca\u5e74\u520a\u767b\u65bc<em>Psychotherapy Psychosomatics<\/em>\u671f\u520a\u7684\u4e00\u7bc7\u6587\u737b\u4e2d\uff0c\u7531\u4f86\u81ea\u7f8e\u570b\u8207\u65e5\u672c\u4e0d\u540c\u5b78\u8853\u55ae\u4f4d\u6240\u69cb\u6210\u7684Tsuchiyagaitoa\u7b49\u4eba\u7814\u7a76\u5718\u968a\uff0c\u91dd\u5c0d\u6182\u9b31\u75c7\u4e2d\u7684\u91cd\u8907\u6027\u8ca0\u5411\u601d\u8003\uff0c\u77ad\u89e3\u5373\u6642\u529f\u80fd\u6027\u78c1\u632f\u7167\u5f71\u7684\u795e\u7d93\u56de\u994b\u6cbb\u7642\u7684\u6210\u6548\u3002<\/p>\n<p>Tsuchiyagaitoa\u5718\u968a\u5e0c\u671b\u53ef\u4ee5\u900f\u904e\u5373\u6642\u529f\u80fd\u6027\u78c1\u632f\u7167\u5f71\u795e\u7d93\u56de\u994b\u6cbb\u7642\uff0c\u6e1b\u5c11\u6182\u9b31\u75c7\u60a3\u8005\u7684\u91cd\u8907\u6027\u8ca0\u5411\u601d\u8003\u7684\u601d\u8003\u6a21\u5f0f\u3002\u5728\u4ed6\u5011\u7684\u7814\u7a76\u4e2d\uff0c43\u540d\u5177\u6709\u6182\u9b31\u75c7\u8a3a\u65b7\u7684\u53c3\u8207\u8005\u4ee5\u53ca\u5718\u968a\u7814\u7a76\u4eba\u54e1\uff0c\u5747\u7d93\u904e\u96a8\u6a5f\u5206\u6d3e\u7684\u7a0b\u5e8f\uff08\u96d9\u76f2\u8a66\u9a57\uff09\uff0c\u5206\u914d\u5230\u5be6\u9a57\u7d44 (active group) \u8207\u5c0d\u7167\u7d44 (sham group)\u3002\u5728\u5be6\u9a57\u4e2d\uff0c\u53c3\u8207\u8005\u89c0\u770b\u4e00\u7cfb\u5217\u6709\u95dc\u63cf\u8ff0\u81ea\u5df1\u7684\u8ca0\u5411\u8a5e\u5f59\uff0c\u800c\u4ed6\u5011\u5247\u900f\u904e\u4e0d\u540c\u7684\u8a8d\u77e5\u7b56\u7565\u4f86\u8abf\u7bc0\u81ea\u5df1\u7684\u8ca0\u5411\u91cd\u8907\u601d\u8003\uff1b\u8207\u6b64\u540c\u6642\uff0c\u4ed6\u5011\u7684\u6954\u524d\u8449\uff0f\u5f8c\u6263\u5e36\u8ff4\u76ae\u5c64 (precuneus\uff0fposterior cingulate cortex) \u8207\u53f3\u5074\u9802\u9873\u8449\u4ea4\u754c\u8655 (right temporoparietal junction) \u7684\u9023\u7d50\u8b8a\u5316\uff0c\u6703\u7d93\u7531\u529f\u80fd\u6027\u78c1\u632f\u7167\u5f71\u8490\u96c6\u4e26\u4ee5\u5716\u50cf\u7684\u65b9\u5f0f\u5448\u73fe\u5728\u4ed6\u5011\u7684\u9762\u524d\u3002\u5c0d\u7167\u7d44\u8207\u5be6\u9a57\u7d44\u63a5\u53d7\u7684\u5be6\u9a57\u64cd\u5f04\u5dee\u7570\u5728\u65bc\uff0c\u4ed6\u5011\u96d6\u4e5f\u6703\u770b\u898b\u81ea\u5df1\u795e\u7d93\u8b8a\u5316\u7684\u5716\u50cf\u56de\u994b\uff0c\u4f46\u9019\u4e9b\u56de\u994b\u4e26\u975e\u4ed6\u5011\u771f\u5be6\u7684\u6954\u524d\u8449\uff0f\u5f8c\u6263\u5e36\u8ff4\u76ae\u5c64\u8207\u53f3\u5074\u9802\u9873\u8449\u4ea4\u754c\u8655\u7684\u9023\u7d50\u8b8a\u5316\uff0c\u800c\u50c5\u662f\u7814\u7a76\u4eba\u54e1\u96a8\u6a5f\u63d0\u4f9b\u7684\u5716\u50cf\u3002<\/p>\n<p>&nbsp;<\/p>\n<h6><span style=\"color: #008080;\"><strong>\u4ee5\u5373\u6642\u78c1\u632f\u7167\u5f71\u70ba\u672c\u7684\u795e\u7d93\u56de\u994b\u6cbb\u7642\u8207\u91cd\u8907\u6027\u8ca0\u5411\u601d\u8003\u4e4b\u95dc\u806f<\/strong><\/span><\/h6>\n<p>\u5728\u7d93\u904e\u5206\u6790\u4e4b\u5f8c\uff0cTsuchiyagaitoa\u5718\u968a\u5f97\u5230\u4e09\u9805\u4e3b\u8981\u7684\u7d50\u8ad6\u3002\u9996\u5148\uff0c\u8207\u5c0d\u7167\u76f8\u6bd4\uff0c\u4ee5\u5373\u6642\u78c1\u632f\u7167\u5f71\u70ba\u672c\u7684\u795e\u7d93\u56de\u994b\u6cbb\u7642\u7684\u5be6\u9a57\u7d44\uff0c\u6cbb\u7642\u5c0d\u65bc\u53c3\u8207\u8005\u6954\u524d\u8449\uff0f\u5f8c\u6263\u5e36\u8ff4\u76ae\u5c64\u8207\u53f3\u5074\u9802\u9873\u8449\u4ea4\u754c\u8655\u7684\u9023\u7d50\u6240\u7522\u751f\u7684\u6548\u679c\uff0c\u4e26\u6c92\u6709\u986f\u8457\u5f71\u97ff\u3002\u4f46\u503c\u5f97\u4e00\u63d0\u7684\u662f\uff0c\u5be6\u9a57\u7d44\u5728\u5be6\u9a57\u5f8c\u7684\u4e00\u6bb5\u6642\u9593\uff0c\u4ed6\u5011\u4e3b\u89c0\u611f\u53d7\u7684\u8ca0\u5411\u601d\u8003\u7a0b\u5ea6\u537b\u986f\u8457\u4e0b\u964d\u4e86\u3002\u6700\u5f8c\uff0cTsuchiyagaitoa\u5718\u968a\u767c\u73fe\uff0c\u8ca0\u5411\u601d\u8003\u7684\u8b8a\u5316\uff0c\u8207\u5f8c\u58d3\u90e8\u76ae\u8cea (retrosplenial cortex) \u8207\u53f3\u5074\u9802\u9873\u8449\u4ea4\u754c\u8655\u7684\u9023\u7d50\u8b8a\u5316\u5b58\u5728\u986f\u8457\u95dc\u806f\u3002<\/p>\n<p>\u5c0d\u6b64\uff0cTsuchiyagaitoa\u5718\u968a\u8868\u793a\uff0c\u7576\u6211\u5011\u6aa2\u8996\u795e\u7d93\u8ff4\u8def\u6642\uff0c\u6bd4\u8d77\u5c07\u7279\u5b9a\u7684\u8ff4\u8def\u6216\u9023\u7d50\u8207\u7279\u5b9a\u529f\u80fd\u9032\u884c\u5c0d\u61c9\uff0c\u5c07\u6bcf\u4e00\u500b\u8ff4\u8def\u6216\u9023\u7d50\u8996\u70ba\u4e00\u500b\u8207\u7279\u5b9a\u529f\u80fd\u6709\u95dc\u7684\u96c6\u5408\u9ad4\u4e2d\u7684\u4e00\u4efd\u5b50\uff0c\u53ef\u80fd\u6703\u66f4\u70ba\u6070\u7576\u3002\u6b64\u6b21\u7684\u7814\u7a76\u5247\u6307\u51fa\uff0c\u4ee5\u5373\u6642\u78c1\u632f\u7167\u5f71\u70ba\u672c\u7684\u795e\u7d93\u56de\u994b\u9032\u884c\u4ecb\u5165\uff0c\u78ba\u5be6\u5c0d\u6182\u9b31\u75c7\u60a3\u8005\u7684\u8ca0\u5411\u91cd\u8907\u6027\u601d\u8003\u7684\u51fa\u73fe\u7522\u751f\u6548\u679c\uff0c\u4f46\u7a76\u7adf\u5728\u6cbb\u7642\u8207\u76ee\u524d\u75c7\u72c0\u4e2d\u9593\u7684\u795e\u7d93\u8ff4\u8def\u89d2\u8272\u662f\u7531\u4f55\u8655\u64d4\u4efb\uff0c\u5247\u4ecd\u6709\u5f85\u5f8c\u7e8c\u7684\u7814\u7a76\u8207\u5206\u6790\u9032\u884c\u6301\u7e8c\u63a2\u8a0e\u3002<\/p>\n<p>&nbsp;<\/p>\n<hr \/>\n<p><strong>\u53c3\u8003\u6587\u737b<\/strong><\/p>\n<ol>\n<li><a href=\"https:\/\/doi.org\/10.1017%2FS0033291716002774\">Kamenov, K., Twomey, C., Cabello, M., Prina, A. M., &amp; Ayuso-Mateos, J. L. (2017). The efficacy of psychotherapy, pharmacotherapy and their combination on functioning and quality of life in depression: a meta-analysis.\u00a0<em>Psychological medicine<\/em>,\u00a0<em>47<\/em>, 414-425.<\/a><\/li>\n<li><a href=\"https:\/\/doi.org\/10.1159\/000528377\">Tsuchiyagaito, A., Misaki, M., Kirlic, N., Yu, X., S\u00e1nchez, S. M., Cochran, G., ... &amp; Guinjoan, S. M. (2023). Real-Time fMRI Functional Connectivity Neurofeedback Reducing Repetitive Negative Thinking in Depression: A Double-Blind, Randomized, Sham-Controlled Proof-of-Concept Trial.\u00a0<em>Psychotherapy and psychosomatics<\/em>, <em>92<\/em>, 87-100.<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u7576\u500b\u9ad4\u9577\u6642\u9593\u51fa\u73fe\u60c5\u7dd2\u4f4e\u843d\uff0c\u4e26\u4e14\u6709\u5176\u4ed6\u65b9\u9762\u7684\u65e5\u5e38\u529f\u80fd\u51fa\u73fe\u5927\u5e45\u5ea6\u7684\u6e1b\u9000\uff0c\u6211\u5011\u5f80\u5f80\u6703\u958b\u59cb\u601d\u8003\u4ed6\uff0f\u5979\u662f\u5426\u8655\u5728\u6182\u9b31\u60c5\u7dd2\uff0c\u751a\u81f3\u60a3\u4e0a\u4e86\u6182\u9b31\u75c7\u3002\u800c\u6182\u9b31\u75c7\u7684\u5176\u4e2d\u4e00\u9805\u5143\u7d20\uff0c\u5373\u662f\u51fa\u73fe\u91cd\u8907\u6027\u7684\u8ca0\u5411\u601d\u8003\uff0c\u6216\u8005\u88ab\u7a31\u70ba\u53cd\u82bb\u3002\u4eca\u5929\uff0c\u5b78\u8005Tsuchiyagaitoa\u5718\u968a\u5617\u8a66\u77ad\u89e3\u4e00\u9805\u795e\u7d93\u56de\u994b\u4ecb\u5165\uff0c\u662f\u5426\u80fd\u5920\u6e1b\u5c11\u9019\u4e9b\u53d7\u6182\u9b31\u75c7\u6240\u82e6\u500b\u9ad4\u4e0a\u8ff0\u7684\u8ca0\u5411\u601d\u8003\u56f0\u64fe\u3002<\/p>\n","protected":false},"author":20,"featured_media":43243,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[257,3293,791],"tags":[6736,835,6915,6914],"aioseo_notices":[],"jetpack_featured_media_url":"https:\/\/case.ntu.edu.tw\/blog\/wp-content\/uploads\/2023\/11\/\u5167\u6587\u63d2\u5716.png","_links":{"self":[{"href":"https:\/\/case.ntu.edu.tw\/blog\/index.php?rest_route=\/wp\/v2\/posts\/43242"}],"collection":[{"href":"https:\/\/case.ntu.edu.tw\/blog\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/case.ntu.edu.tw\/blog\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/case.ntu.edu.tw\/blog\/index.php?rest_route=\/wp\/v2\/users\/20"}],"replies":[{"embeddable":true,"href":"https:\/\/case.ntu.edu.tw\/blog\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=43242"}],"version-history":[{"count":2,"href":"https:\/\/case.ntu.edu.tw\/blog\/index.php?rest_route=\/wp\/v2\/posts\/43242\/revisions"}],"predecessor-version":[{"id":43465,"href":"https:\/\/case.ntu.edu.tw\/blog\/index.php?rest_route=\/wp\/v2\/posts\/43242\/revisions\/43465"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/case.ntu.edu.tw\/blog\/index.php?rest_route=\/wp\/v2\/media\/43243"}],"wp:attachment":[{"href":"https:\/\/case.ntu.edu.tw\/blog\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=43242"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/case.ntu.edu.tw\/blog\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=43242"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/case.ntu.edu.tw\/blog\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=43242"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}